| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | MATALON, VIVIENNE · Vivienne Matalon | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Vivienne | [sources] | |||
| ID Number | 25MA05359600 | [sources] | |||
| Last name | Matalon | [sources] | |||
| NPI | 1396858635 | [sources] | |||
| Sector | MD | [sources] | |||
| Address | (NJ), (NJ) · 1 NORTH SYRACUSE DRIVE, CHERRY HILL, NJ 08034 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-363bef641c65881d5059704b284665c01315f97c · us-medpa-888ec66e69d27a9104e9ded629646f987aa58d7cFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 1 NORTH SYRACUSE DRIVE, CHERRY HILL, NJ 08034 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | Department of Human Services | - | - |
| (NJ), (NJ) · NJ, NJ | United States |